Individual provider Active NPI

Motunrayo Yewande Alalade

  • Licensed Practical Nurse
  • Central Islip, NY
National Provider Identifier
1376136408
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
334618 Issued in NY
Practice address
254 Fruitwood LN
Central Islip, NY 11722-2502
Phone
(347) 500-0576
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 334618 NY Primary

Addresses

Primary practice location

254 Fruitwood LN
Central Islip, NY 11722-2502

Mailing address

254 Fruitwood LN
Central Islip, NY 11722-2502
Phone (347) 500-0576

Other names 1

  • Mrs. Motunrayo Yewande Alalade Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
334618NYMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1376136408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRUITWOOD LN",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222502",
            "telephone_number": "347-500-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 FRUITWOOD LN",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222502",
            "telephone_number": "347-500-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALALADE",
        "first_name": "MOTUNRAYO",
        "middle_name": "YEWANDE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "334618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOTUNRAYO",
            "last_name": "ALALADE",
            "middle_name": "YEWANDE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.